| LCA CASE NUMBER | I-200-21155-369783 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-04 |
| DECISION DATE | 2021-06-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Systems Engineer |
| SOC CODE | 15-1143.00 |
| SOC TITLE | Computer Network Architects |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-07 |
| END DATE | 2024-06-06 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | PHYSICIANS OF SOUTHWEST WASHINGTON, L.L.C. |
| EMPLOYER ADDRESS1 | 319 7th Ave SE |
| EMPLOYER ADDRESS2 | STE 201 |
| EMPLOYER CITY | Olympia |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98501 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13609434337 |
| EMPLOYER PHONE EXT | 109 |
| NAICS CODE | 524292 |
| EMPLOYER POC LAST NAME | Matheson |
| EMPLOYER POC FIRST NAME | Travis |
| EMPLOYER POC MIDDLE NAME | Wesley |
| EMPLOYER POC JOB TITLE | Director of Human Resources |
| EMPLOYER POC ADDRESS 1 | 319 7th Ave SE |
| EMPLOYER POC ADDRESS 2 | STE 201 |
| EMPLOYER POC CITY | Olympia |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98501 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13609434337 |
| EMPLOYER POC PHONE EXT | 109 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Peng |
| AGENT ATTORNEY FIRST NAME | Leo |
| AGENT ATTORNEY ADDRESS1 | 1111 Third Ave |
| AGENT ATTORNEY ADDRESS2 | Suite 3000 |
| AGENT ATTORNEY CITY | Seattle |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98101 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12064474400 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Foster Garvey PC |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 319 7th Ave SE |
| WORKSITE ADDRESS2 | STE 201 |
| LCA CASE WORKLOC1 CITY | Olympia |
| WORKSITE COUNTY | THURSTON |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98501 |
| LCA CASE WAGE RATE FROM | 115000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 84302 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Borroff |
| PREPARER FIRST NAME | Silviya |
| PREPARER MIDDLE INITIAL | D. |
| PREPARER BUSINESS NAME | Foster Garvey PC |
| PREPARER EMAIL | [email protected] |
